Organization
THE LYMPH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN DAVIS MILLS WATSON (OWNER)
(770) 802-4446
Entity
Organization
Contact information
Practice address
2321 HENRY CLOWER BLVD, SUITE A, SNELLVILLE, GA 30078-7419
(770) 802-4446
(770) 802-4464
Mailing address
2321 HENRY CLOWER BLVD, SUITE A, SNELLVILLE, GA 30078-7419
(770) 802-4446
(770) 802-4464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
03/15/2017
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